Ge Mac 5000 Ekg Machine Operation Manual

Introduction ... . ... 1-1 Manual Information ... . ... 1-3 Revision History ... . ... 1-3 Manual Purpose ... . ... 1-3 Intended Audience ... . ... 1-3 Warnings, Cautions, and Notes ... . ... 1-4 Safety Messages ... . ... 1-5 Responsibility of the Manufacturer ... . ... 1-5 General ... . ... . . 1-5 Equipment Symbols ... . ... 1-7 Service Information ... . ... 1-8 Service Requirements ... . ... 1-8 Equipment Identification ... . ... 1-8 Format A ... . ... 1-9 Format B ... . ... 1-10 Equipment Overview ... . ... 2-1 General Description ... . ... 2-3 Front View ... . ... 2-3 Back View ... . ... 2-3 Connector Identification ... . ... 2-4 Detailed Description ... . ... 2-5 Block Diagram ... . ... 2-8 Theory of Operation ... . ... 2-11 Power Supplies ... . ... 2-11 Clocks ... . ... 2-13 CPU ... . ... 2-13 FPGA Internal Logic ... . ... 2-13 SDRAM ... . ... 2-20 SmartMedia Card ... . ... 2-20 Serial EEPROM ... . ... 2-20 VGA LCD/CRT Interface ... . ... 2-21 Acquisition Module Transceiver / Power Switch ... . ... 2-2 COMM Port Power Switch / Current Limiter ... . ... 2-22 Thermal Printhead Power / Pixel Test Hardware ... . ... 2-23 Super I/O Peripheral Controller ... . ... 2-23 The Four Stooges ... . ... 2-24 Untested 'Nominal' Operating Time Specs ... . ... 2-30 Installation ... . ... 3-1 Preparation for Use ... . ... 3-3 General ... . ... . . 3-3 Trolley Height Adjustment ... . ... 3-4 Installing the MAC 5000 ... . ... 3-6 Installing the Modem Kit ... . ... 3-8 Magnetic Card Reader Installation ... . ... 3-10 Bar Code Reader Installation ... . ... 3-12 Type-S Trolley Assembly ... . ... 3-14 MAC 5000 ST Requirements and Configuration ... . ... 3-15 Compatible Blood Pressure Units ... . ... 3-16 Analog Treadmills ... . ... 3-16 Bicycle Ergometers ... . ... 3-17 Maintenance ... . ... 4-1 Introduction ... . ... . . . 4-3 Recommended Maintenance ... . ... 4-3 Required Tools and Supplies ... . ... 4-3 Inspection and Cleaning ... . ... 4-4 Visual Inspection ... . ... 4-4 Exterior Cleaning ... . ... 4-4 Interior Cleaning ... . ... 4-4 General ... . ... 4-4 Thermal Printhead ... . ... 4-5 Battery and Patient Cable Replacement ... . ... 4-6 Battery Replacement ... . ... 4-6 Patient Cable Replacement ... . ... 4-6 Disassembly Guidelines ... . ... 4-7 Preliminary Steps ... . ... 4-7 Trolley Disassembly ... . ... 4-7 Type-S Trolley Disassembly ... . ... 4-8 Power Supply ... . ... 4-8 Top Cover ... . ... 4-9 Display/Keyboard Assembly ... . ... 4-1 Removal ... . ... 4-11 Display/Keyboard Reassembly ... . ... 4-12 Reassembly ... . ... 4-13 Main PCB ... . ... 4-13 Removal ... . ... 4-13 Reassembly ... . ... 4-14 Printhead Replacement ... . ... 4-14 Removal ... . ... 4-14 Reassembly ... . ... 4-14 Diskette Drive Removal/Replacement ... . ... 4-15 Writer Roller/Carriage Assembly ... . ... 4-15 Removal ... . ... 4-15 Reassembly ... . ... 4-16 Trolley Casters ... . ... 4-17 Domestic Electrical Safety Tests ... . ... 4-19 AC Line Voltage Test ... . ... 4-19 Leakage Tests ... . ... 4-20 Troubleshooting ... . ... 5-1 Assembly Descriptions ... . ... 5-3 Introduction ... . ... 5-3 Assembly Block Diagram ... . ... 5-3 General Fault Isolation ... . ... 5-4 Power-up Self-test ... . ... 5-4 Power-up Flow Chart ... . ... 5-5 Poor Quality ECGs ... . ... 5-5 Visual Inspection ... . ... 5-6 Diagnostic Tests ... . ... 5-7 Introduction ... . ... 5-7 Loading the System Diagnostics ... . ... 5-7 Substitute Master Password ... . ... 5-7 System Diagnostics Main Menu ... . ... 5-8 Display Tests ... . ... 5-8 Pixel Verification Test ... . ... 5-8 Grey Scale Test Patterns ... . ... 5-8 Speaker Test ... . ... 5-9 Keyboard Test ... . ... 5-9 PS2 Port Test ... . ... 5-9 Writer Tests ... . ... 5-10 Battery Tests ... . ... 5-12 Battery Status ... . ... 5-12 Battery Discharge Test ... . ... 5-12 Battery Charge Test ... . ... 5-12 Print Charge/Discharge Test Results ... . ... 5-1 Communication Tests ... . ... 5-13 COM Port Loopback Test ... . ... 5-13 Modem Test ... . ... 5-13 Acquisition Module Test ... . ... 5-13 Analog I/O Tests ... . ... 5-13 Analog Output Test ... . ... 5-13 Analog Input Test ... . ... 5-14 DCOut Loopback Test ... . ... 5-14 ECGOut/QRSTrigger Loopback Test ... . ... 5-14 Floppy Drive Tests ... . ... 5-14 Diskette Format Failure ... . ... 5-14 Equipment Problems ... . ... 5-15 ECG Data Noise ... . ... 5-15 Missing ACI-TIPI Report ... . ... 5-15 No BP from External Device ... . ... 5-15 Treadmill/Ergometer Does Not Move ... . ... 5-15 System Errors ... . ... 5-16 Frequently Asked Questions ... . ... 5-17 Maintenance ... . ... 5-17 Save Setups ... . ... 5-17 Storing ECGs ... . ... 5-17 Format a Disk ... . ... 5-17 Cleaning ... . ... 5-17 Battery Capacity ... . ... 5-18 System Setup ... . ... 5-18 Location Number ... . ... 5-18 Patient Questions ... . ... 5-18 Passwords ... . ... 5-19 Clinical ... . ... . . 5-19 Report Format ... . ... 5-19 Hi-Res and Phi-Res ... . ... 5-19 Editing ... . ... 5-19 Entering Patient Data ... . ... 5-20 Transmission ... . ... 5-20 Losing Fields When Transmitting ... . ... 5-20 Input and Output Connectors ... . ... 5-21 A Pins (J1) ... . ... 5-21 COM1 (COM3/4) Pins (J3) ... . ... 5-21 COM2 Pins (J5) ... . ... 5-22 Analog Pins (J6) ... . ... 5-22 EXT. VID. Pins (J7) ... . ... 5-23 CPU PCB Input/Output Signals ... . ... 5-24 Battery Pack/Monitor, J2 ... . ... 5-24 LCD Backlight, J4 ... . ... 5-24 Keyboard, J8 ... . ... 5-24 LCD, J10 ... . ... 5-2 Power Supply/Motor, J11 ... . ... 5-26 Thermal Printer, J12 ... . ... 5-27 Floppy Disk Drive, J13 ... . ... 5-28 Acquisition Module, J14 ... . ... 5-29 Parts List ... . ... 6-1 Ordering Parts ... . ... . . 6-3 General Information ... . ... 6-3 Field Replaceable Units ... . ... 6-4 Appendices Appendix A – Abbreviations ... . ... .A-1 Standard Abbreviations ... . ... A-3 Appendix B – Technical Specifications ... . . . .B-1 Technical Specifications ... . ... B-3 Display ... . ... . . .B-3 Computerized Electrocardiograph ... . ... .B-3 Writer ... . ... . . .B-4 Keyboard ... . ... .B-4 Electrical ... . ... .B-4 Vectorcardiography ... . ... .B-4 Hi-Res and PHi-Res Signal-Averaged Electrocardiography . . . ... .B-5 Physical ... . ... .B-5 Environmental ... . ... .B-5 Safety ... . ... . . .B-7 Appendix C – Electromagnetic Compatibility ... .C-1 Electromagnetic Compatibility (EMC) ... . ... C-3 Guidance and Manufacturer's Declaration – Electromagnetic Emissions ... .C-3 Guidance and Manufacturer's Declaration – Electromagnetic Immunity ... .C-4 Guidance and Manufacturer's Declaration – Electromagnetic Immunity ... .C-5 Recommended Separation Distances ... . ... .C-6 Compliant Cables and Accessories ... . ... .C-7